The study was aimed at investigating malaria prevalence and interventions in three sub-urban
communities in Ijebu North Area of Nigeria. This is because the challenge for malaria control had been mainly a
failure to study the socio-cultural aspects of various strategies of the past. Rapid diagnostic tests and questionnaire
survey were conducted. The overall prevalence was 65% with a significant difference (p<0.05) in prevalence
between male and female sexes. Prevalence recorded by village was highest at Abata (94.7%). Malaria prevalence
variation (12.5-89.9%) among the various age groups was statistically significant (p<0.05). Low prevalence was
recorded in pregnant women (5.82%) and 68.9% in children. Only 2.2% of the respondents claimed to use the
recommended first line drugs while 9.5 and 5.8% used insecticide treated nets ITNs and insecticide spray
respectively as intervention. Thirty nine percent of respondents (pharmacists) reported accessibility to and
affordability of first line drugs by patients; 50% claimed Sulphdoxinepyrimethamine [SPs] was in highest demand
and 11% claimed equal demand. Malaria infection was high in the communities under study while treated malaria
cases at the public health centers were low. The status of insecticide treated nets and curtains were low in usage and
insignificant. Community empowerment resulting in the need to provide good quality drugs close to homes, as much
as possible cannot be over emphasized as people depended more on autotherapy with bought drugs from local drug
vendors or natural therapy with herbal concoctions.